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Division of Palliative Care

Program Vision

Train fellows who will be competent in all areas of patient and family care in Hospice and Palliative Care. Hospice and Palliative Care Team the fields of both Hospice and Palliative Care to become clinician leaders for the institutions in which they will work.

Hospice and Palliative Care Team

Educational Strengths

It is the overall goal of this fellowship to produce doctors that are competent in all aspects of fields of Hospice and Palliative Care.  The fellows will be exposed to and work within teams who have built practices of excellence in these areas.  We will use the guidelines provided in Clinical Practice Guidelines for Quality Palliative Care as the key map of what objectives to pursue.  Lubbock is uniquely prepared to accomplish these goals as we have the following components present:

  1. Faculty have key leadership roles locally including serving as hospice medical directors, in patient palliative care directors and core hospital leadership.  Fellows will gain system-based practice experience with exposure to the role of medical director.
  2. Fellows will receive excellent training in pediatric hospice care.
  3. Fellows have a one-on-one community hospice assignment with a medical director providing direct mentoring.
  4. Both hospitals and all community hospice assignments include in-patient units, allowing excellent training in in-patient hospice and palliative care.
  5. The fellows will spend 6 months with a successful in-patient palliative care consult service at a community hospital, allowing excellent training with a multi-discipline team and unique services such as consultation to the pediatric and neonatal intensive care units and consultation as part of the trauma team at the hospital.
  6. The program features a didactic series modeled after educational leadership being provided by the Palliative Care Education Project of Harvard University.
  7. Most of the physicians with whom the fellows will be working are Board Certified in Hospice and Palliative Medicine, including the hospice director and the palliative care physician leader.

It is the intent of the educators of this program not only to model patient and family care, but also to model how to provide leadership for the hospice and palliative care movement in the areas in which they work in the future.  This program offers direct training in the aspects of being a medical director, in how to produce quality improvement programs and scholarly pursuits, and in personal growth and development of leadership skills.


  • Graduate of an Accredited Program in Family Medicine, Emergency Medicine, Internal Medicine, Pediatrics, Neurology/Psychiatry, Surgery, Radiology, Anethesiology, or Physical Medicine & Rehab
  • Must be licensable in the State of Texas
  • USMLE passed in the first two attempts for each step
  • International Medical Graduates: Only Visa acceptable is J1 Visa
  • Application Deadline: September 1


Applications will be accepted through the Electronic Residency Application Service (ERAS) provided by the Association of American Medical Colleges (AAMC).  For more information please go to


  • Covenant Medical Center (teaching hospital)
  • University Medical Center (teaching hospital)
  • Covenant Outpatient Palliative Clinic (continuity care)
  • Hospice of Lubbock (pediatric experience and continuity care)
  • UMC Advanced Illness Clinic (continuity care) 
  • Kindred Hospice (continuity care)
  • Home Health
  • Various area Nursing Homes (long-term care)
  • Various elective locations for experiences in wound care, pain management, hematology/oncology and others


  • Kelly L. Klein, MD
    Program Director, Palliative Care
  • Stephen Gates, MD
    Medical Director, Palliative Care
  • Louis Lux, MD
    Family Medicine, Palliative Care
  • R. Michael Ragain, MD
    Sr. Vice President & Chief Medical Officer, UMC
  • Jeremy L. Brown, MD
    Medical Director, Hospice of Lubbock
  • James J. Fletcher, MD
    Covenant, Palliative Care
  • Betsy Goebel Jones, EdD
    Women’s Health & Family Medicine Research Director
  • Deborah Hunt, FNP
    Covenant-Palliative Care
  • Sandra Scherpereel, FNP
    UMC-Palliative Care
  • Doyle Patterson
    Chaplain, Covenant-Palliative Care
  • Elizabeth Abraham
    Chaplain, Hospice of Lubbock


Feel free to contact the Department of Family & Community Medicine with any questions you may have:

Family and Community Medicine
Hospice and Palliative Medicine Fellowship
Texas Tech University Health Sciences Center
3601 4th Street, MS 8143
Lubbock, TX 79430

Download the brochure for the Palliative Care Fellowship here:

Palliative Care Fellowship Brochure

Meet Our Palliative Care Fellows Here

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